Total synthesis of clavatadine A

The first total synthesis of the potent and selective human blood coagulation factor XIa inhibitor clavatadine A (1) is described. Direct, early-stage guanidinylation enabled rapid, convergent access to an immediate clavatadine A precursor. Concomitant lactone hydrolysis and guanidine deprotection with aqueous acid cleanly provided clavatadine A (1) in only four steps (longest linear sequence, 41-43% overall yield).

Lens epithelial cells adhere less to HEMA than to PMMA intraocular lenses

Following cataract surgery proliferation of residual lens epithelial cells may occur causing secondary opacification and loss of visual acuity. Using an in vitro system the abilities of bovine and porcine lens epithelial cells to adhere to two types of intraocular lens have been assessed. Lens epithelial cells adhere significantly less to lenses composed of poly 2 hydroxyethylmethacrylate (HEMA) than to polymethylmethacrylate (PMMA).